Choosing Generic vs Branded Viagra

Generic medicines contain the same active ingredient and are equally effective and equivalent as the
branded products but are available at a lower price. Generic manufacturers have to demonstrate that they are
medically identical to the branded product before they can be sold - i.e. they offer the same quality,
strength, stability and effectiveness.

Side Effects From Using Viagra

Viagra has been used by millions of men worldwide for over a decade and has been proven to be a safe and
effective treatment for erectile dysfunction. For the majority of users no side effects are experienced. However,
some men may experience mild side effects and less than 1% will experience serious side effects.

Very Common Side Effects (affects more than 10% of the population)

Headache

Common Side Effects (affects between Than 1-10% of the population)

Dizziness

Blurry Vision / Visual Disturbances

Hot flushes

Blocked nose

Nausea/Indigestion

What is Viagra?

Viagra is the most well-known treatment for adult men with erectile dysfunction, sometimes known as
impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Viagra is one
of a class of drugs known as PDE-5 (Phosphodiesterase type 5) inhibitors. Viagra and the other PDE-5 inhibitors can
help men with erectile dysfunction (male impotence) by enhancing the erectile response when a man is sexually
stimulated.

What is Sildenafil?

Sildenafil citrate is the generic version of the Viagra licensed since 2013 in the UK.

Sildenafil is an effective, modern medicine used to treat erectile dysfunction (ED). When you take
Sildenafil you may be able to:

Improve your ability to get and maintain an erection

Be more confident in your ability to get and maintain an erection

Be satisfied with the hardness of your erections

What is the difference between Viagra and Sildenafil?

Sildenafil citrate is the active ingredient in Viagra and is available in a generic, unbranded tablet.
Sildenafil and Viagra are medically equivalent but Sildenafil is available at a much lower cost.

Generic medicines contain the same active ingredient and are equally effective and medically equivalent as
the branded products but are available at a lower price. Generic manufacturers have to demonstrate that they are
medically identical to the branded product - i.e. they offer the same quality, strength, stability and
effectiveness.

Generic medicines are required meet the same standards of safety, quality and efficacy as the branded medication.
To receive market approval from the European Medicines
Agency and MHRA, a generic medicine must be 'bioequivalent' to the originator product.

Choosing the Correct Dosage

The recommended starting dose for Viagra (sildenafil) is one 50mg tablet taken 1 hour before sexual activity.
If you achieve the desired effect but are suffering from side effects, try lowering the dose to 25mg. If after
trying 50mg tablets four times without the desired effect, and you are not experiencing side effects, increase the
dose to 100mg. If after trying 100mg 8 separate times without effect you should cease treatment and consult your
doctor. You should not take Viagra (sildenafil) more than once a day as this will have not increase the
effectiveness and may increase the likelihood of experiencing side effects.

How To Take

You should take Viagra (Sildenafil) about one hour before you plan to have sex. Swallow the tablet whole with
a glass of water.

Viagra (Sildenafil) can be taken with or without food. However, you may find that Viagra (Sildenafil) takes
longer to start working if you take it with a heavy meal.

How does Viagra work?

Viagra belongs to a class of medication known as PDE5 inhibitors. In the presence of sexual stimulation, PDE5
inhibitors such as Viagra relax smooth muscle and increase blood flow to the penis, helping to restore impaired
erectile function.

How long does Viagra Last?

Viagra will stay in the body on average 4 hours after dosing. For some men it may remain as long as 5 hours,
or a few as 3 hours.

Side Effects of Viagra

Viagra is generally well tolerated and comes in a variety of dosages so the strength can easily be decreased
for men experiencing bothersome side effects. The most common side effects include headache, flushing, indigestion,
nasal congestion, dizziness, nausea, hot flush and visual disturbances. These common side effects are all transient
in nature and should not last more than a few hours. Studies have not shown any effect on sperm motility or
morphology.

How Long Does Viagra Take To Work?

When taken on an empty stomach, Viagra is absorbed relatively rapidly and it will usually work within 30-60
minutes, although it may take up to 120 minutes in a small percentage of men. Taking Viagra with food will decrease
the rate of absorption and can significantly increase the time taken for Viagra to work.

Viagra Dosage

Viagra comes in three different strengths: 25mg, 50mg and 100mg. The recommended starting dose for first time
users is 50mg. The dose can then be increased to 100mg if 50mg is not strong enough. For men who experience
bothersome side effects the dose can be reduced to 25mg. Only one tablet should be taken in each 24 hour period.

Can you buy viagra over the counter?

In the UK, Viagra is a prescription only medicine and cannot be bought over the counter. It is illegal to
sell Viagra without a prescription.

Is Viagra safe?

Viagra is registered and licensed for use in the UK and EU and can be safely taken by the majority of men
with erectile dysfunction. Viagra was patented by Pfizer in 1996 and released onto the market a couple of years
later. As a result, it has been safely used by millions of men around the world who have erectile dysfunction.

Viagra and Alcohol

Clinical trials of healthy men taking Sildenafil 50mg did not show further decreases in blood pressure when
taken with moderate amounts of alcohol. However, alcohol by itself has the ability to increase erection
difficulties.

Alternatives to Viagra

Clinical trials have shown that for 84% of men Viagra helped to improve their erections. For those who find
Viagra less effective than hoped, or for whom planned dosing is difficult, there are other PDE5 inhibitors
available in tablet form. These medications include Cialis (Tadalafil), Levitra (Verdenafil) and Spedra (Avanafil).
These three medications have a slightly faster onset of action than Viagra. Cialis also has a daily tablet for
those engaging in sexual activity at least three times each week.

Best time to take Viagra?

Viagra should be taken approximately 30-60 minutes before intended sexual activity and on an empty stomach.
Only 1 tablet should be taken in each 24 hour period.

Alternatives to Viagra

Counselling

For many men suffering from erectile dysfunction the primary cause may be related to psychological issues and not
physical ones.

In these cases, counselling can prove to be a very effective form of treatment. Talking with
a mental health professional will help to address issues of stress, anxiety or depression, which can all contribute to
erectile dysfunction. For further information contact your GP.

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